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Abstract
A male patient with pectus carinatum and spine scoliosis deformity presented with a 7-day history of recurrent episodes of nausea, vomiting and abdominal distention. He reported a weight loss of about 10 kg in the last 6 months and an altered eating habit. The contrast-enhanced CT of the abdomen revealed a significant compression of the third part of the duodenum, reduced the aortomesenteric distance and left renal vein compression between the abdominal aorta and superior mesenteric artery. A diagnosis of superior mesenteric artery syndrome with nutcracker syndrome was made. The patient’s symptoms persisted on conservative management, and surgical correction was planned where a side-to-side anastomosis of the second part of the duodenum and jejunum was performed. The nutcracker syndrome was managed conservatively with ongoing surveillance. The patient did well postoperatively and was discharged without any complications. Until 4 months of follow-up, his weight improved, and urine examination did not show haematuria.
- General surgery
- Gastrointestinal surgery
- Radiology
- Stomach and duodenum
Footnotes
Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: VS, MPS, UB and LL. The following authors gave the final approval of the manuscript: VS, MPS, UB and LL. Guarantor is VS.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.